| NPI | 1043326432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD27158) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 7775) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-12-16 |